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General NPI Number Information
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NPI Number | 1609936434
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Entity Type | Organization
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Legal Business Name | FAMILY EYE CARE, INC.
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3223 DUKE ST
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City | ALEXANDRIA
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State | VA
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Zip | 22314-4586
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Country | US
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Telephone | 703-751-4148
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Fax |
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Provider Business Mailing Address
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Address Line | 3223 DUKE STREET
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City | ALEXANDRIA
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State | VA
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Zip | 22314-4555
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Country | US
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Telephone | 703-751-4148
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CONNELL JAMES TRIMBER
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Credential | M.D.
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Telephone | 703-751-4148
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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